| NPI | 1710519285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARITSSA FERNANDEZ BARRY Owner 732-617-6797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-02-12 |